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Case Report

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Reactive cholecystitis as the leading sign of subacute perforation of the right ventricle with the electrode of an implantable cardioverter defibrillator

  • JASNA ČERKEZ HABEK1
  • ŽELJKA BELOŠIC HALLE2
  • HRVOJE GAŠPAROVIĆ3
  • TOMISALV JURKOVIĆ4
  • NENAD LAKUŠIĆ5
  • JOZICA ŠIKIĆ6

1Department of Cardiovascular Diseases, University Hospital „ Sveti Duh“, Zagreb, Croatia Croatian Catholic University

2Department of Gastroentrology, University Hospital „ Sveti Duh“, Zagreb, Croatia

3Department of Cardiosurgery, University Hospital Zagreb, Croatia,School of Medicine, University of Zagreb.

4Department of Radiology, University Hospital „ Sveti Duh“, Zagreb, Croatia

5Special Hospital for Rehabilitation, Krapinske Toplice, Croatia School of Medicine, University Josip Juraj Strossmayer, Osijek

6Department of Cardiovascular Diseases, University Hospital „ Sveti Duh“, Zagreb, Croatia School of Medicine, University of Zagreb

DOI: 10.22514/SV131.052017.25 Vol.13,Issue 1,March 2017 pp.100-102

Published: 20 March 2017

*Corresponding Author(s): JASNA ČERKEZ HABEK E-mail: jasna.habek@gmail.com

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Abstract

Subacute lead perforation of the right ven-tricle caused acute, reactive, acalculous cholecystis, which initially distracted the attention of physicians from the develop-ment of hematopericard. Implantation of a cardioverter defibrillator in a young patient after sudden cardiac arrest, but be-fore treatment of significant stenosis of the proximal left anterior descending artery, resulted in a life-threatening condition only 36 days after arrest. After removing the implantable cardioverter defibrillator, there was no sign of pathological cardiac rhythm disorders.

Keywords

subacute lead perforation of the right ventricle, reactive acalculos cholecysti-tis 

Cite and Share

JASNA ČERKEZ HABEK,ŽELJKA BELOŠIC HALLE,HRVOJE GAŠPAROVIĆ,TOMISALV JURKOVIĆ,NENAD LAKUŠIĆ,JOZICA ŠIKIĆ. Reactive cholecystitis as the leading sign of subacute perforation of the right ventricle with the electrode of an implantable cardioverter defibrillator. Signa Vitae. 2017. 13(1);100-102.

URL:

https://www.signavitae.com/articles/ 10.22514/SV131.052017.25

References

1. Mendis SPP, Norrving B. Global Atlas on Cardiovascular Disease Prevention and Control. Geneva: World Health Organization, 2011.

2. Eckart RE, Shry EA, Burke AP, McNear JA, Appel DA, Castillo-Rojas LM, Avedissian L, Pearse LA, Potter RN, Tremaine L, Gentlesk PJ, Huffer L, Reich SS, Stevenson WG. Department of Defense Cardiovascular Death Registry G. Sudden death in young adults: an autopsy-based series of a population undergoing active surveillance. J Am Coll Cardiol 2011;58:1254–61.

3. Welch AR, Yaday P, Lingle K. Subacute right ventricular pacemaker lead perforation: often talked about in consent forms but rarely seen. Cardiac Rhytm Management 2011;2:442-5.

4. Haq SA, Heitner JF, Lee L, Kassotis JT. Late presentation of a lead perforation as a complication of permanent pacemaker inser-tion. Angiology 2008;59:619–21.

5. McChesney J, Northump PG, Bickston SJ. Acute acalculose cholecystitis associated with systemic sepsis and visceral arterial hypop-erfusion. Dig Dis Sci 2003;48:1960-7.

6. Ryu JK, Ryu KH, Kim KH. Clinical features of acute acalculous cholecystitis. J Clin Gastroenterol 2003;36:166–9.

7. Laborderie J, Barandon L, Ploux S. Management of subacute and delayed right ventricular perforation with a pacing or an implant-able cardioverter-defibrillator lead. Am J Cardiol 2008;102:1352–5.

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